A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?
"Remain in bed until you fall asleep."
"Keep the television volume low while you are trying to fall asleep."
"Sleep longer hours on the weekend."
"Establish a daily exercise routine."
The Correct Answer is D
Choice A reason: Staying in bed awake reinforces insomnia by associating bed with wakefulness. Sleep hygiene advises leaving bed if sleep doesn’t come soon.
Choice B reason: Low TV volume still stimulates the brain, delaying sleep onset. Screen light disrupts melatonin, worsening insomnia rather than aiding rest.
Choice C reason: Longer weekend sleep disrupts circadian rhythm, confusing sleep cycles. Consistent sleep timing is key, so this hinders nightly sleep improvement.
Choice D reason: Daily exercise boosts sleep quality by reducing stress and regulating circadian rhythm. It’s a proven insomnia remedy, promoting faster sleep onset naturally.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Stating no need for gynecological exams post-hysterectomy is incorrect. Even without a uterus, pelvic exams monitor for cancers like ovarian or vaginal. This misunderstanding suggests the client lacks full awareness of long-term care needs, indicating incomplete informed consent about the procedure’s implications on future health monitoring.
Choice B reason: Expecting a large stomach scar is inaccurate for a vaginal hysterectomy, which avoids abdominal incisions unlike abdominal hysterectomy. This misconception shows the client does not understand the surgical approach, a key consent element, as it impacts recovery and risks, suggesting consent was not fully informed.
Choice C reason: Expressing relief about no more children aligns with understanding a hysterectomy removes the uterus, ending menstruation and fertility. This reflects comprehension of the procedure’s purpose and permanent outcome, a core aspect of informed consent, indicating the client grasps the surgery’s reproductive implications accurately.
Choice D reason: Expecting periods to resume post-hysterectomy is wrong, as removing the uterus stops menstruation permanently. This error reveals a critical misunderstanding of the procedure’s effects, a fundamental consent requirement, suggesting the client has not been adequately informed about the surgery’s impact on her menstrual cycle.
Correct Answer is C
Explanation
Choice A reason: Epigastric pain suggests GI issues, not TIAs. In hypertension, TIAs affect cerebral vessels, causing neurological deficits, not abdominal symptoms like this.
Choice B reason: Seizures stem from cortical irritation, not typical TIA vascular occlusion. Hypertension-related TIAs produce transient deficits, not convulsive activity usually.
Choice C reason: Sudden monocular vision loss (amaurosis fugax) is a classic TIA sign in hypertension. It reflects temporary retinal artery occlusion, resolving quickly.
Choice D reason: Left arm pain mimics cardiac issues, not TIAs. Hypertension TIAs target brain circulation, causing focal deficits, not referred pain patterns.
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